Provider Demographics
NPI:1689932337
Name:AULAVA, JAMIE
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:AULAVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 KILAUEA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3084
Mailing Address - Country:US
Mailing Address - Phone:808-935-3481
Mailing Address - Fax:808-935-4436
Practice Address - Street 1:460 KILAUEA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3084
Practice Address - Country:US
Practice Address - Phone:808-935-3481
Practice Address - Fax:808-935-4436
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator